Health Condition 1: J969- Respiratory failure, unspecified
Conditions
Interventions
Intervention1: nil: nil
Control Intervention1: nil: nil
Sponsors
Narayana Health City
Eligibility
Inclusion criteria
Inclusion criteria: 1. All adult patients requiring endotracheal intubation in the Emergency Department, Narayana Health City, 2. Patient or legally appointed representative willing to provide consent (or deferred consent applicable for emergency situations).
Exclusion criteria
Exclusion criteria: 1. Patient or legally appointed representative refusal to participate, 2. Polytrauma patients with cervical collar in situ, 3. Anticipated difficult airway: significant anatomical abnormalities, tumors, or previous airway surgery, 4. Severe obesity: BMI greater than or equal to 30 kg/m2 (impairs ultrasound visualization)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time to confirmation of correct endotracheal tube placement using upper airway ultrasonography compared to waveform capnography. stopwatch timing from announcement of tube is in to confirmation by each modality recorded by a dedicated third observer.Timepoint: Immediately post intubation - At time Zero, within 60 seconds of endotracheal tube insertion. | — |
Secondary
| Measure | Time frame |
|---|---|
| Sensitivity & specificity of upper airway ultrasound in detecting correct ETTTimepoint: At time zero & within 60 seconds of endotracheal tube insertion;Incidence of esophageal intubation in the Emergency DepartmentTimepoint: At time zero & within 60 seconds of endotracheal tube insertion;Accuracy of chest auscultation compared to capnography & USGTimepoint: At time zero & within 60 seconds of endotracheal tube insertion | — |
Countries
India
Contacts
Public ContactDr Viju Wilben
Narayana Health, Bommasandra
Outcome results
None listed